Unknown Individual – Emergency Medicine Physician, NPI 1619958303

Unknown Individual is a healthcare provider. based in Defiance, Ohio. specializing in Emergency Medicine Physician. They hold a License No. 35-02-9339 (OH). The NPI Number for Unknown Individual is 1619958303

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619958303
Phone
(419) 782-7944
Address
1901 TANGLEWOOD DR.
Deactivation Date
27 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1901, Tanglewood Drive, Defiance, Richland Township, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435123637

    Phone: (419) 782-7944

    Type: Mailing

  • Tanglewood Drive, Defiance, Richland Township, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435123637

    Phone: (419) 782-7944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43512)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1619958303 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Defiance?
Unknown Individual currently maps to Defiance, Ohio in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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